B. SACHIDANANDA BABU
ASTROLOGY CONSULTANT
AFFIX PHOTO
NOT RETURNABLE
"Sri Rajeswari"
28, Nagappa Street, Seshadripuram,
Bangalore - 560 020, INDIA
PLEASE FILL IN THE FORM COMPLETELY
| Name: | Height: Weight: |
| Fathers/Husband's name: | Complexion: |
| Date of Birth: -- -- ----(dd/mm/yyyy) | Nature of appearance: |
| Time of Birth: -- -- AM/PM(hh/mm) | Temper: |
| Place of Birth : | Tastes: Hobbies: |
| 1.Health:State the nature of illness, disease, present health & years of suffering, if normal, state "normal" | |
| 2. Parents: State whether alive or dead: If latter, give year of death, if former give present ages. | |
| 3. Brothers & Sisters: Number of elder/younger brothers/sisters; Any losses may also be mentioned, giving year of loss. | |
| 4. Marriage: Give year of marriage and state whether married life is happy, unhappy, separated, divorced diseased partner,etc.,if separated/divorced give year of separating. | |
| 5.Children: Total number of male/female children, deaths and abortions, with dates/years to be given here. | |
| 6. Occupations & Profession: State what business/employment you are in & year of starting business, joining employment. | |
| 7. If student, state STUDENT and course of present study /activity/training. Mention educational qualifications. | |
| 8. Any sudden or significant fortunes or misfortunes concerning business, love affairs, domestic life, loss or gain of wealth, deaths of loved ones etc., may be mentioned here. | |
| 9.GiveYear of Acquiring Landed Property/Vehicle |
THE INFORMATION FURNISHED HEREIN BY ME IS TRUE TO YHE BEST OF MY KNOWLEDGE
MY REQUIREMENT IS: (Mention number) --------------- Amount remitted by me: Rs./$/GBP-----------
Please send my horoscope analysis by registered /mail/courier to the following name & address:
Signature: ________________________
Date: ___________________
P.S. Any additional information may be given on a separate sheet of paper